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At least 1,297 records · Page 72Linked to original sources
PubMed2004

ZOBB versus QUACC.

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British Columbia↗
PubMed2004

Experiences in a dental emergency clinic.

This report provides descriptive information on the Dental Emergency Clinic at the Royal London Dental Hospital. General information was recorded over 6 months (January-July 2001) regarding total number of patients presenting for treatment, number of patients turned away, sex, age, and ethnic origin of the patient. Demographic information was recorded as well as reason for attendance source of referral and treatment carried out. This data was statistically analysed. Between January and July 2001 6299 patients presented to the Royal London Dental Hospital for treatment on the Dental Emergency Clinic. 73% of patients were seen on the Dental Emergency Clinic, whilst 27% were turned away. The mean daily attendance on the clinic was 31 patients. The majority of patients who attended this clinic were white (English, Scottish and Welsh, 39.1%). The next largest ethnic group were Bangladeshi (8.2%). The highest rate of attendance was in the 20-39 year old age band. The majority of patients attended from the surrounding health authority region (East London and City). The majority of patients attended without referral (78.9%), nearly a quarter were referred by their general dental practitioner (21%). Dental pain was the main reason for attendance (73%). 4054 patients were seen and treated with 4325 items of treatment carried out. There was an 8.4% increase in items of treatment between January-March 2001 and May-July 2001. April was excluded to avoid bias due to re-organisation of the clinic. This increase did not show statistical significance (p > 0.05). Most of the patients attending the Dental Emergency Clinic are aged between 20 to 39 years and from the surrounding health authority region. The majority of the patients are from the indigenous population, even though the clinic is situated in a culturally diverse part of London. Since April 2001 there was a reorganisation of the Dental Emergency Clinic. Although the mean number of patients attending the clinic did not increase, the number of items of treatment increased by 8.4%. This reflects the trend of increase in items of treatment being provided for the patients on the day of presentation.

Adolescent↗
PubMed2004

[The role of sexual trauma as a cause of orofacial symptoms. Case report].

Authors describe a 58-sitting psychotherapy of a 46-year-old female patient with psychogenic atypical facial pain. Sexual trauma in the childhood was found as a cause of the psychogenic pain symptoms, leading to series of unnecessary extraction of teeth in this case. Psychotherapeutic treatment led to the recovery of the somatic symptoms, and a moderate improvement of the behaviour related to men of this patient.

Child↗
PubMed1992

Factors influencing the occurrence of pain in carious teeth.

The mechanisms by which pain develops in carious teeth are poorly understood. The variability of dentin and pulp responses to carious attack is probably the cause for the variations in the pain symptoms presented by patients. This article is a review of the available data regarding the changes that dentin and pulp undergo in carious teeth. Such changes are discussed in relation to their possible influence on intradental sensory nerve excitability. Special emphasis is given to the various bacterial metabolites produced and accumulated in carious dentin and their ability to modulate pain symptoms from carious teeth.

Dental Caries↗
PubMed2004

Post-traumatic stress disorder: considerations for dentistry.

A dental patient with post-traumatic stress disorder (PTSD) may present with greater dental and behavioral challenges than most dental patients. The background review of PTSD's initiating factors, diagnostic criteria, and medical management should help practitioners better understand and manage these challenges. Many of the challenges the clinician may encounter and managing recommendations are described. A case report of a PTSD patient complaining of constant bilateral tooth pain of the maxillary and mandibular bicuspids and molars is presented. Recommended techniques for identifying the tooth pain source and contributing factors are provided. The primary contributing factor for the patient's tooth pain was determined to be his severe tooth clenching activity. A maxillary acrylic appliance provided some pain reduction and a subsequent mandibular soft occlusal appliance worn opposing the maxillary appliance provided additional relief.

Bruxism↗
PubMed2004

[Comparison of the effects of three analgesic therapies on odontalgia caused by pulpitis in molars].

PURPOSE: To compare the effects of analgesic therapies on odontalgia caused by pulpitis in molars by three different methods. METHODS: 173 molars were diagnosed as irreversible pulpitis, and randomized block designed in three groups. Under block or local anesthesia: 46 cases of the first group, leaving teeth on open drainage, after 1 day, sealing devitalized material (arsenic), arranged next appointment 2 weeks later. 52 molars of the second group, enlarging exposure site, drainage several minutes only, sealed devitalized material, re-examined 2 weeks later. 75 cases of the third group, removing roof of pulp chamber, undergoing pulpectomy directly, re-examined 1 week later. Adopting VAS(vital analogue scale) to analyze the pulp receptivity of three different methods and to evaluate the analgesic effects by complete analgesia, effective analgesia, and no response. The data was analysed using chi-square test. RESULTS: The rate of complete analgesia was 50.0%, 63.46% and 76.0%, respectively. There was a significant difference in complete analgesia among the three methods. The analgesic effect of the third group (pulpectomy) was significantly higher than that of the first group (P<0.01).Pulpectomy group had impossibility of adverse effects caused by using devitalizing material (arsenic). CONCLUSIONS: It is worthy to adopt pulpectomy extensively to relieve the pain of molars caused by pulpitis clinically. The course of treatment of the third group was significantly shorter than other groups, and the simultaneous symptoms occurred rarely.

Adult↗
PubMed2004

Philip Barrough, Elizabethan physician with the first English book on medicine.

Philip Barrough was an Elizabethan surgeon and physician who, in 1587, published the first book on medicine in the English language. In addition to a comprehensive presentation of the overall knowledge of medicine of the time, Barrough devoted several chapters to the diagnosis and management of the diseases of the teeth and diseases of the mouth and oropharynx. Very little is known about the life of Barrough, such as the dates of his birth and death and where he practiced medicine. It is curious that despite his major contribution to medicine, and the fact that his book went into seven editions, his name is not even mentioned in the major histories of medicine, such as those of Garrison, Castiglioni, Major, and Mettler. This paper attempts to place Barrough in his proper place in the history of medicine, and to emphasize his overall knowledge of medicine as well as his concern about diseases of the mouth and teeth.

Authorship↗
PubMed2004

New advances in the management of endodontic pain emergencies.

The development of more effective strategies for managing endodontic pain emergencies draws from the research of both clinicians and basic scientists. This review explores evidence-based approaches for managing endodontic pain emergencies and newly emerging pain management strategies based upon molecular, cellular and physiologic research into pain mechanisms.

Analgesics↗
PubMed2004

Diagnostic challenges of neuropathic tooth pain.

This article presents the clinical characteristics, epidemiology, pathophysiology and treatment of 2 neuropathic conditions: trigeminal neuralgia and atypical odontalgia. A case report highlights the complexities involved in diagnosing neuropathic pain. Neuropathic pain is chronic, diverse in quality, difficult to localize and it occurs in the absence of obvious pathology. To avoid multiple, ineffective dental treatments, general practitioners must be familiar with the signs of nonodontogenic sources of tooth pain.

Analgesics, Non-Narcotic↗
PubMedDate not supplied

Bilateral eruption sequestra: report of case.

A case report of bilateral eruption sequestra was presented. The eruption sequestrum must be included in the differential diagnosis of pain during eruption. Although previously thought to have little clinical significance, the eruption sequestrum may retain plaque in close association with the newly erupting tooth. The retained eruption sequestrum may lead to pericoronitis or pit and fissure caries. While many spontaneously resorb or exfoliate, some, as in this case, may need surgical removal.

Bone and Bones↗
PubMed1949

Dental pain.

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Humans↗